Doctor profile · Federal record
Dr. Kyle Johnson, DO
Family Medicine Physician (CMS: Family Practice) · Saint Louis, MO
- NPI 1174053920
- Accepts Medicare
- 9 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
12680 Olive Blvd Ste 300
Saint Louis, MO 631416322
(314) 251-8888 - Mailing address
-
615 S New Ballas RD
Saint Louis, MO 631418221
Credentials & registration
- NPI registered
- June 2017 — 9 yrs on file
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Missouri #2017019521
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174053920. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
423
Distinct HCPCS
9
Medicare allowed
$44,977
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 166 | 115 | $126 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 84 | 68 | $89 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 82 | 82 | $128 | |
83036 |
Hemoglobin a1c level | 36 | 23 | $10 | |
90662 |
Influenza vaccine split virus, preservative free | 11 | 11 | $72 | |
90677 |
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | 11 | $282 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $111 | |
G0008 |
Administration of influenza virus vaccine | 11 | 11 | $30 | |
G0009 |
Administration of pneumococcal vaccine | 11 | 11 | $30 |
In context: peer comparison
Among 71 peers in this city , average services per provider: 73. This provider delivers 5.8× the peer median.Open Payments
Industry payments received
All-time total
$50
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dexcom, Inc. | 1 | $19.24 | |
| Novartis Pharmaceuticals Corporation | 1 | $16.81 | |
| Sumitomo Pharma America, Inc. | 1 | $14.33 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,175
Patients
563
Total drug cost
$24,469
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 525 | 138 | $6,059 |
| Lisinopril | Generic | 249 | 58 | $2,208 |
| Amlodipine Besylate | Generic | 248 | 62 | $1,925 |
| Levothyroxine Sodium | Generic | 191 | 50 | $2,172 |
| Losartan Potassium | Generic | 143 | 46 | $1,261 |
| Rosuvastatin Calcium | Generic | 94 | 30 | $1,402 |
| Omeprazole | Generic | 93 | 26 | $2,109 |
| Hydrochlorothiazide | Generic | 89 | 29 | $275 |
| Metformin Hcl | Generic | 89 | 26 | $706 |
| Furosemide | Generic | 88 | 20 | $419 |
Hospital affiliations
Frequently asked questions
What is Dr. Kyle Johnson's medical specialty?
Dr. Kyle Johnson practices Family Medicine Physician in Saint Louis, MO.
Where does Dr. Kyle Johnson practice?
Dr. Kyle Johnson practices at 12680 Olive Blvd Ste 300, Saint Louis, MO 631416322. Office phone: 3142518888.
What is Dr. Kyle Johnson's NPI?
Dr. Kyle Johnson's National Provider Identifier (NPI) is 1174053920, issued by NPPES.
Does Dr. Kyle Johnson accept Medicare assignment?
Yes. Dr. Kyle Johnson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kyle Johnson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.